NPI | 1013591551 |
---|---|
Entity Type | Organization |
Authorized Contact | DOLSIE MCDONALD Manager Of Network Management 726-444-4078 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2021-05-11 |
Last Update Date | 2021-08-05 |